ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?
Correct Answer: D
Rationale: The correct answer is D: Veracity. Veracity refers to the ethical principle of truthfulness and honesty. In this scenario, the charge nurse should ensure that the incident report accurately reflects the absence of the gait belt to promote transparency and truthfulness. By upholding veracity, the charge nurse maintains integrity and accountability in reporting the incident accurately.
A: Beneficence - This refers to the duty to do good and promote the well-being of others, which is not directly applicable to the situation described.
B: Fidelity - Fidelity pertains to the duty to fulfill commitments and obligations, which is not the primary concern in this scenario.
C: Nonmaleficence - Nonmaleficence involves the duty to do no harm, which is not the main focus of the situation described.
Question 2 of 5
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
Correct Answer: A
Rationale: The correct answer is A because the client requiring assistance getting dressed indicates limitations in activities of daily living (ADLs), a key area addressed by occupational therapy. Occupational therapists specialize in helping individuals regain independence in daily tasks following a stroke.
Choices B and C relate to speech therapy for swallowing and speech issues, while choice D pertains to medication management, not directly linked to occupational therapy.
Question 3 of 5
A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to use the incentive spirometer. This is the priority intervention because postoperative clients are at risk for developing atelectasis due to decreased lung expansion. Using the incentive spirometer helps to prevent respiratory complications by promoting deep breathing and improving lung function. Repositioning the client frequently (choice
A) is important for preventing pressure ulcers but is not the priority in this case. Ensuring the client consumes adequate fluids (choice
C) is essential for hydration but does not address the respiratory issues postoperatively. Increasing the amount of time the client spends out of bed each day (choice
D) is beneficial for mobility but does not directly address the respiratory concerns.
Question 4 of 5
A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?
Correct Answer: C
Rationale: The correct answer is C: A client who sustained a concussion and is being monitored for complications. This assignment is appropriate for a newly licensed nurse as it involves monitoring and assessing for potential complications related to a common and relatively less complex neurological condition. This will allow the new nurse to practice critical thinking skills, gain experience in neurological assessments, and develop confidence in caring for neurologically compromised patients.
Choices A, B, and D involve clients with more complex conditions that may require specialized interventions or closer monitoring, making them less suitable for a newly licensed nurse. Assigning these clients may overwhelm the new nurse and potentially compromise patient safety.
In summary, assigning the client with a concussion for monitoring is the best choice for the newly licensed nurse, as it provides a suitable learning opportunity without overwhelming complexity.
Question 5 of 5
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
Correct Answer: B
Rationale: The correct answer is B: A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min. This action aligns with ethical principles of beneficence and nonmaleficence. Administering opioids to manage pain in a terminally ill patient is a compassionate act that prioritizes the patient's comfort and quality of life. The nurse is adhering to the principle of beneficence by promoting the well-being of the patient. Additionally, providing appropriate pain relief is in line with the principle of nonmaleficence, as it prevents unnecessary suffering.
Summary of incorrect choices:
A: Raising all four side rails on a confused client's bed may restrict their movement and violate their autonomy.
C: Electing not to care for a client who had an abortion goes against the principle of nonjudgmental care and may harm the nurse-client relationship.
D: Withholding nutrition from a client with a DNR order may cause harm and does not align